Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
CHILDREN'S HOSPITAL COLORADO
FKA THE CHILDREN'S HOSPITAL ASSOCIATION
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
13123 E 16TH AVENUE
 
Room/suite
City or town, state or country, and ZIP + 4
AURORA, CO80045
D Employer identification number

84-0166760
E Telephone number

G Gross receipts $ 658,714,747
F Name and address of principal officer:
JAMES E SHMERLING
13123 E 16TH AVENUE
AURORA,CO80045
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.CHILDRENSCOLORADO.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1908
M State of legal domicile: CO
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH- QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH, AND ADVOCACY.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 26
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 23
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 4,788
6 Total number of volunteers (estimate if necessary) .... 6 1,807
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 2,939,294
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 582,789
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 24,304,474 19,651,007
9 Program service revenue (Part VIII, line 2g) ......... 559,408,301 631,280,882
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 4,397,295 5,305,784
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 424,219 510,970
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 588,534,289 656,748,643
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 1,317,533
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 271,380,186 300,124,999
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 248,112,541 280,293,775
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 519,492,727 581,736,307
19 Revenue less expenses. Subtract line 18 from line 12...... 69,041,562 75,012,336
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 1,274,401,526 1,473,383,057
21 Total liabilities (Part X, line 26)............ 409,639,618 488,758,866
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 864,761,908 984,624,191
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: TO IMPROVE THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 415,194,071 including grants of $ 1,317,533 ) (Revenue $ 631,280,882 )
ROUTINE INPATIENT SERVICES; ANCILLARY INPATIENT SERVICES SUCH AS LAB RADIOLOGY, OPERATING ROOM, RECOVERY ROOM, CENTRAL SUPPLIES, ETC.; OUTPATIENT SERVICES SUCH AS EMERGENCY ROOM, ORTHO CLINIC, ONCOLOGY CLINIC, ETC.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 415,194,071
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part IIIClick to see attachment........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
 
No
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
Yes
 
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
435
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
4,788
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
26
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
23
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
Yes
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
CARLO ROTOLA CONTROLLER
13123 E 16TH AVENUE
AURORA,CO80045
(720) 777-2788
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) CRAIG PONZIO
CHAIRMAN OF BOARD UNTIL 4/10
 1.0 X   X       0 0 0
(2) MARRY GITTINGS CRONIN
BOARD MEMBER
 1.0 X           0 0 0
(3) KELLY KENNEDY
TCH FOUNDATION BRD OF TRUSTEES
 1.0 X           0 0 0
(4) RUSSELL DISPENSE
BOARD MEMBER
 1.0 X           0 0 0
(5) DONALD M ELLIMAN
BOARD MEMBER
 1.0 X           0 0 0
(6) CANDY ERGEN
BOARD MEMBER
 1.0 X           0 0 0
(7) COLE FINEGAN
SECRETARY
 1.0 X   X       0 0 0
(8) CATHY M FINLON
CHAIRMAN OF BOARD SINCE 4/10
 1.0 X   X       0 0 0
(9) ERIC HARTMEISTER
PRES OF THE ASSN OF VOLUNTEERS
 1.0 X           0 0 0
(10) MARIA GUAJARDO PHD
BOARD MEMBER
 1.0 X           0 0 0
(11) WILLIAM LINDSAY
BOARD MEMBER
 1.0 X           0 0 0
(12) RANDY HERTEL
BOARD MEMBER
 1.0 X           0 0 0
(13) THOMAS HONIG
BOARD MEMBER
 1.0 X           0 0 0
(14) ROBERT HOTTMAN
TREASURER
 1.0 X   X       0 0 0
(15) JOY JOHNSON
VICE-CHAIRMAN OF BOARD
 1.0 X           0 0 0
(16) KEVIN REIDY
BOARD MEMBER
 1.0 X           0 0 0
(17) BRADLEY SMITH DDS
BOARD MEMBER
 1.0 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) RICHARD KRUGMAN MD
BOARD MEMBER
 1.0 X           0 0 0
(19) LILLY MARKS
BOARD MEMBER
 1.0 X           0 0 0
(20) JODY MATHIE MD
BOARD MEMBER
 1.0 X           0 0 0
(21) R SCOTT NYCUM
BOARD MEMBER
 1.0 X           0 0 0
(22) JAMES E SHMERLING DHA
PRESIDENT AND CEO
 39.0 X   X       1,211,934 0 137,123
(23) ANDRE SIROTNAK MD
BOARD MEMBER
 1.0 X           0 0 0
(24) ANN SPERLING
BOARD MEMBER
 1.0 X   X       0 0 0
(25) HAL STEIN MD
BOARD MEMBER
 1.0 X           0 0 0
(26) BENJAMIN WALTON
BOARD MEMBER
 1.0 X           0 0 0
(27) JENA HAUSMANN
CHIEF OPERATING OFFICER
 39.0     X       582,444 0 78,716
(28) LEONARD J DRYER JR
SR. VP-CFO
 39.0     X       565,537 0 29,279
(29) MARY ANNE LEACH
SR. VP-CIO
 40.0     X       351,969 0 42,524
(30) JOHN LACOUTURE
CHIEF LEGAL OFFICER
 40.0     X       359,392 0 41,488
(31) KELLY JOHNSON
CHIEF NURSING OFFICER
 40.0     X       317,076 0 43,531
(32) JEFFREY HARRINGTON
VP FINANCE
 40.0     X       282,437 0 44,636
(33) MICHEAL WUKITSCH
VP HUMAN RESOURCE
 40.0     X       303,659 0 47,155
(34) SUZY JAEGER
VP AMBULATORY AND OPERATIONS
 40.0     X       269,008 0 43,204
(35) JERROD MILTON
VP OPERATIONS
 40.0     X       228,478 0 38,608
(36) BETH GAFFNEY
VP OPERATIONS
 40.0     X       235,838 0 33,515
(37) AMY CASSERI
CHIEF STRATEGY OFFICER
 40.0     X       371,383 0 51,336
(38) JOAN BOTHNER MD
CMO
 40.0     X       539,671 0 0
(39) DENNIS MATTHEWS
PPAARDI-IN-CHIEF
 40.0     X       224,633 0 0
(40) STEPHEN DANIELS
PEDIATRIC-IN-CHIEF
 40.0     X       345,104 0 0
(41) DANIEL HYMAN MD
CHIEF QUALITY OFFICER
 40.0     X       432,928 0 0
(42) FRED SUCHY
CHIEF RESEARCH OFFICER (12/10)
 40.0     X       32,459 0 0
(43) JOHN STRAIN
RADIOLOGIST
 40.0         X   410,279 0 28,715
(44) LAURA FENTON
RADIOLOGIST
 40.0         X   413,874 0 25,773
(45) JAMES INGRAM
RADIOLOGIST
 40.0         X   410,996 0 28,715
(46) ROGER HARNED
RADIOLOGIST
 40.0         X   407,996 0 28,715
(47) KARI HAYES
RADIOLOGIST
 40.0         X   412,428 0 26,255
(48) LINDA POWERS
V.P NURSING
 0.0           X 176,716 0 21,490
(49) MARGI MORSE
VP NURSING
 0.0           X 163,519 0 20,495
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 9,049,758 0 811,273
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet307
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
Yes
 
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
UCDHSC
4200 E 9TH AVENUE
AURORA,CO80045 		EDUCATION SERVICES 13,932,849
UNIVERSITY PHYSICIANS INC
13611 E COLFAX
AURORA,CO80045 		PHYSICIAN SERVICES 13,639,374
CROTHALL HEALTHCARE
13028 COLLECTION CENTER DRIVE
CHICAGO,IL60693 		ENVIRONMENTAL SVCS 6,259,638
HOSPITAL SHARED SERVICES
PO BOX 17033
BOULDER,CO80217 		SOFTWARE SERVICES 2,915,381
HL ARCHITECTURE
1755 BLAKE ST SUITE 400
DENVER,CO80202 		ARCHITECTURE 9,213,191
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet102
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 12,122,429
e Government grants (contributions)1e 6,900,000
f All other contributions, gifts, grants, and
similar amounts not included above1f 		628,578
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 19,651,007
Program Service Revenue Business Code
2a NET PATIENT SERVICE REVENUE 622,110 605,906,301 605,906,301    
b RESEARCH FUNDING 541,900 11,779,027 11,519,019 260,008  
c CAFETERIA 722,210 3,429,063 3,429,063    
d LAB BILLING 561,000 1,242,041   1,242,041  
e ALL OTHER REVENUE 900,099 8,924,450 7,533,091 1,391,359  
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 631,280,882
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 4,868,680   45,886 4,822,794
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross Rents 510,970  
b Less: rental expenses 0  
c Rental income or (loss) 510,970  
d Net rental income or (loss).......MediumBullet 510,970     510,970
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 1,804,114 599,094
b Less: cost or other basis and sales expenses 0 1,966,104
c Gain or (loss) 1,804,114 -1,367,010
d Net gain or (loss)..........MediumBullet 437,104     437,104
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 0
12 Total revenue. See Instructions....MediumBullet 656,748,643 628,387,474 2,939,294 5,770,868
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 1,317,533 1,317,533
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 0 0
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 0 0
4 Benefits paid to or for members 0 0
5 Compensation of current officers, directors, trustees, and key employees .... 7,131,491 0 7,131,491 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0 0 0 0
7 Other salaries and wages 238,151,706 171,738,865 66,412,841 0
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 9,897,521 6,929,904 2,967,617 0
9 Other employee benefits ....... 27,839,737 19,492,427 8,347,310 0
10 Payroll taxes ........... 17,104,544 11,976,014 5,128,530 0
11 Fees for services (non-employees):        
a Management ...... 0 0 0 0
b Legal ......... 687,673 481,485 206,188 0
c Accounting ........... 487,742 341,500 146,242 0
d Lobbying ........... 226,300 226,300 0 0
e Professional fundraising. See Part IV, line 17.. 0 0
f Investment management fees ...... 0 0 0 0
g Other .......... 65,059,180 45,552,202 19,506,978 0
12 Advertising and promotion .... 3,776,411 2,644,113 1,132,298 0
13 Office expenses ....... 5,340,141 3,738,983 1,601,158 0
14 Information technology ...... 12,970,860 9,081,750 3,889,110 0
15 Royalties .. 0 0 0 0
16 Occupancy ........... 12,387,196 8,673,089 3,714,107 0
17 Travel ............ 1,571,108 1,100,036 471,072 0
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0 0 0 0
19 Conferences, conventions, and meetings .... 375,488 262,904 112,584 0
20 Interest ........... 8,758,020 6,132,065 2,625,955 0
21 Payments to affiliates ....... 0 0 0 0
22 Depreciation, depletion, and amortization ..... 42,192,743 29,541,909 12,650,834 0
23 Insurance .............. 2,072,725 1,451,251 621,474  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a BAD DEBT EXPENSE 13,327,458 13,327,458 0 0
b HOSPITAL PROVIDER FEE 12,735,094 12,735,094 0 0
c EQUIPMENT RENTAL & MAINT. 10,767,734 7,539,197 3,228,537 0
d MEDICAL SUPPLIES 66,817,306 46,783,181 20,034,125 0
e ALL OTHER EXPENSES 20,740,596 14,126,811 6,613,785 0
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 581,736,307 415,194,071 166,542,236 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 18,621,843 1 2,976,751
2 Savings and temporary cash investments ....... 12,802 2 0
3 Pledges and grants receivable, net ......... 4,446,742 3 6,311,905
4 Accounts receivable, net ......... 53,604,045 4 63,626,154
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 3,963,528 8 4,352,337
9 Prepaid expenses and deferred charges ............ 3,663,481 9 4,108,287
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 867,410,429
b Less: accumulated depreciation. ..... 10b 210,421,311 651,269,561 10c 656,989,118
11 Investments—publicly traded securities .......... 223,642,832 11 328,834,213
12 Investments—other securities. See Part IV, line 11 ...... 96,857,729 12 149,891,498
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 218,318,963 15 256,292,794
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,274,401,526 16 1,473,383,057
Liabilities 17 Accounts payable and accrued expenses . 71,068,938 17 90,142,909
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 314,288,694 20 367,500,092
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 24,281,986 25 31,115,865
26 Total liabilities. Add lines 17 through 25..... 409,639,618 26 488,758,866
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 634,695,796 27 722,819,263
28 Temporarily restricted net assets ..... 141,973,398 28 164,571,388
29 Permanently restricted net assets ..... 88,092,714 29 97,233,540
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 864,761,908 33 984,624,191
34 Total liabilities and net assets/fund balances ..... 1,274,401,526 34 1,473,383,057
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
656,748,643
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
581,736,307
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
75,012,336
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
864,761,908
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
44,849,947
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
984,624,191
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
CHILDREN'S HOSPITAL COLORADO
FKA THE CHILDREN'S HOSPITAL ASSOCIATION
Employer identification number

84-0166760
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
CHILDREN'S HOSPITAL COLORADO
FKA THE CHILDREN'S HOSPITAL ASSOCIATION
Employer identification number

84-0166760
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
CHILDREN'S HOSPITAL COLORADO
FKA THE CHILDREN'S HOSPITAL ASSOCIATION 		Employer identification number

84-0166760
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
CHILDREN'S HOSPITAL COLORADO
FKA THE CHILDREN'S HOSPITAL ASSOCIATION 		Employer identification number

84-0166760
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
CHILDREN'S HOSPITAL COLORADO
FKA THE CHILDREN'S HOSPITAL ASSOCIATION 		Employer identification number

84-0166760
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
CHILDREN'S HOSPITAL COLORADO
FKA THE CHILDREN'S HOSPITAL ASSOCIATION
Employer identification number

84-0166760
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...... 4,000  
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 226,300  
c Total lobbying expenditures (add lines 1a and 1b) ................... 230,300  
d Other exempt purpose expenditures ........................ 414,967,771  
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 415,198,071  
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 1,000,000  
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000  
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................ 0  
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................ 0  
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		        6,000,000
             
c Total lobbying expenditures 367,768 401,887 268,141 226,300 1,264,096
             
d Grassroots non-taxable amount 250,000 250,000 250,000 250,000 1,000,000
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		         1,500,000
             
f Grassroots lobbying expenditures 36,500 56,000 4,000 4,000 100,500
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
 
 
j
Total. lines 1c through 1i ...................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CHILDREN'S HOSPITAL COLORADO
FKA THE CHILDREN'S HOSPITAL ASSOCIATION
Employer identification number

84-0166760
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 29,283,714 24,854,564 33,761,116
b Contributions ........      
c Investment earnings or losses ... 3,172,990 5,828,658 -7,949,952
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		900,247 1,341,892 956,600
f Administrative expenses .... 65,916 57,616  
g End of year balance ...... 31,490,541 29,283,714 24,854,564
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet100.000 %
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
Yes
 
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   7,157,339 7,157,339
b Buildings ................   544,018,684 57,871,920 486,146,764
c Leasehold improvements ............   8,895,281 5,822,319 3,072,962
d Equipment ................   239,937,450 142,632,019 97,305,431
e Other .................   67,401,657 4,095,053 63,306,622
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 656,989,118
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) INVESTMENT IN LAUNDRY CORP 		125,000 C

(B) INVESTMENT IN NORTH ASC 		-480,361 C

(C) ICAP ABSOLUTE RET RETENTION 		10,894,480 F

(D) FORTRESS CREDIT OPPORTUNITY FU 		7,346,470 F

(E) VIKING GLOBAL EQUITIES III LTD 		13,113,614 F

(F) FARALLON CAPITAL PARTNERS LP 		11,845,350 F

(G) CONVEXITY CAPITAL OFFSHORE LP 		24,864,406 F

(H) NEWPORT ASIA 		15,001,921 F

(I) KING STREET 		13,905,807 F

(J) HIGHFIELDS CAPITAL LTD 		16,469,000 F

(K) DENHAM COMMODITY PARTNERS FUND 		4,296,504 F

(L) CAPITAL GUARDIAN 		10,961,869 F

(M) SILCHESTER INTERNATIONAL 		21,547,438 F
Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 149,891,498
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) RECEIVABLE FROM FOUNDATION 4,870,073
(2) PERPETUAL TRUST ASSETS-TAMMEN 31,490,540
(3) CHILDREN'S HOSPITAL FOUNDATION 203,213,000
(4) DEFERRED DEBT ISSUANCE COSTS 4,660,003
(5) OTHER MISCELLANEOUS RECEIVABLE 11,072,679
(6) EXECUTIVE DEFERRED TRUST 986,499



Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 256,292,794
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes 0
SELF INSURANCE TRUST LIABILITY 5,027,000
ACCRUED INTEREST PAYABLE 1,468,192
DUE TO RESTRICTED FUND 4,783,217
VALUE OF INTEREST RATE SWAP 19,390,274
DEFINED BENEFIT OBLIGATION 447,182




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 31,115,865
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 656,748,643
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 581,736,307
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 75,012,336
4 Net unrealized gains (losses) on investments .......................... 4 25,422,117
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 -16,151,259
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 9,270,858
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 84,283,194
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 690,351,454
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 25,422,116
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d 8,180,695
e Add lines 2a through 2d ..................... 2e 33,602,811
3 Subtract line 2e from line 1..................... 3 656,748,643
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 656,748,643
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 606,068,260
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d 24,331,953
e Add lines 2a through 2d...................... 2e 24,331,953
3 Subtract line 2e from line 1..................... 3 581,736,307
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 581,736,307
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
INTENDED USE OF ENDOWMENT FUNDS SCHEDULE D PART V, LINE 4 THE HOSPITAL IS THE INCOME BENEFICIARY OF THE H.H. TAMMEN TRUST, A PERPETUAL TRUST UNDER WHICH THE HOSPITAL HAS THE IRREVOCABLE RIGHT TO RECEIVE THE INCOME EARNED ON THE TRUST ASSETS IN PERPETUITY. FUNDS ARE USED TO SUPPORT HOSPITAL ACTIVITIES.
ASC 740 FOOTNOTE SCHEDULE D, PART X, LINE 2 THE HOSPITAL EVALUATES WHETHER THERE ARE ANY UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. AS OF DECEMBER 31, 2010 AND 2009, THE HOSPITAL HAS DETERMINED THAT NO PROVISION IS REQUIRED FOR UNCERTAIN TAX POSITIONS.
RECONCILING ITEMS   PART XI, LINE 8 REVENUE REPORTED ON SEPARATE TAX RETURN - $8,180,695 CHANGE IN VALUE OF INTEREST RATE SWAP - $(13,801,338) EXPENSES REPORTED ON SEPARATE TAX RETURN - $(10,530,617) ROUNDING - $1 TOTAL PART XI, LINE 8 - $(16,151,259) PART XII, LINE 2D REVENUE REPORTED ON OTHER TAX RETURN - $8,180,695 PART XIII, LINE 2D CHANGE IN VALUE OF INTEREST RATE SWAP - $(13,801,338) EXPENSES REPORTED ON SEPARATE TAX RETURN - $(10,530,616) ROUNDING - $2 TOTAL PART XIII, LINE 2D - $(24,331,955)
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CHILDREN'S HOSPITAL COLORADO
FKA THE CHILDREN'S HOSPITAL ASSOCIATION
Employer identification number

84-0166760
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
Central America and the Caribbean 0 0 Investments N/A 62,778,306
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 62,778,306
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 0 0 62,778,306
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CHILDREN'S HOSPITAL COLORADO
FKA THE CHILDREN'S HOSPITAL ASSOCIATION
Employer identification number

84-0166760
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		  2,615 2,524,290 1,000,454 1,523,836 0.260 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		  197,685 213,889,023 151,777,444 62,111,579 10.680 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....   48,616 23,521,829 26,722,926 -3,201,097 0.550 %
dTotal Charity Care and
Means-Tested Government Programs ..... 		  248,916 239,935,142 179,500,824 60,434,318 10.390 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		11 6,850,262 5,074,140 67,898 5,006,242 0.860 %
f Health professions education
(from Worksheet 5) .. 		3 9,332 23,530,086 6,900,000 16,630,086 2.860 %
g Subsidized health services
(from Worksheet 6) .. 		3 25,027 9,929,093 0 9,929,093 1.710 %
h Research (from Worksheet 7)     16,860,870 0 16,860,870 2.900 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		2 64,241 1,396,062 0 1,396,062 0.240 %
jTotal Other Benefits ... 19 6,948,862 56,790,251 6,967,898 49,822,353 8.570 %
kTotal. Add lines 7d and 7j. .. 19 7,197,778 296,725,393 186,468,722 110,256,671 18.960 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing 1 400 13,179 0 13,179 0 %
2 Economic development   0 0 0 0 0 %
3 Community support   0 0 0 0 0 %
4 Environmental improvements 1 4,221 530,076 10,511 519,565 0.080 %
5 Leadership development and training for community members   0 0 0 0 0 %
6 Coalition building 1 500 33,523 0 33,523 0.010 %
7 Community health improvement advocacy 1 2,700,000 206,392 0 206,392 0.030 %
8 Workforce development 1 57 455,305 0 455,305 0.070 %
9 Other   0 0 0 0 0 %
10 Total 5 2,705,178 1,238,475 10,511 1,227,964 0.190 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
5,276,341
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
1,523,836
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
1,107,607
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
3,843,520
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-2,735,913
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?4
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 CHILDREN'S HOSPITAL COLORADO
13123 E 16TH AVENUE
AURORA,CO80045 		X   X X   X X    
2 CHILDREN'S HOSPITAL N CAMPUS BROOMFIELD
469 WEST STATE HIGHWAY 7
BROOMFIELD,CO80023 		X   X            
3 THE CHILDREN'S HOSPITAL PARKER
19284 COTTONWOOD DRIVE
PARKER,CO80138 		X   X       X    
4 CHILDREN'S HOSPITAL AT ST JOSEPH HOSPL
1830 FRANKLIN STREET
DENVER,CO80218 		X   X       X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:CHILDREN'S HOSPITAL COLORADO
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:CHILDREN'S HOSPITAL N CAMPUS BROOMFIELD
Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:THE CHILDREN'S HOSPITAL PARKER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):3

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:CHILDREN'S HOSPITAL AT ST JOSEPH HOSPL
Line Number of Hospital Facility (from Schedule H, Part V, Section A):4

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?13
Name and address Type of Facility (Describe)
1 TCH CENTER FOR CANCER & BLOOD DISORDERS
320 E FONTANERO STREET
COLORADO SPRINGS,CO80907 		OP PED SPECIALTY CARE FOR CANCER & BLOOD DISORDERS
2 TCH CENTER FOR CANCER & BLOOD DISORDERS
320 E FONTANERO STREET
COLORADO SPRINGS,CO80907 		OP PED SPECIALTY CARE FOR CANCER & BLOOD DISORDERS
3 TCH CENTER FOR CANCER & BLOOD DISORDERS
320 E FONTANERO STREET
COLORADO SPRINGS,CO80907 		OP PED SPECIALTY CARE FOR CANCER & BLOOD DISORDERS
4 TCH CENTER FOR CANCER & BLOOD DISORDERS
320 E FONTANERO STREET
COLORADO SPRINGS,CO80907 		OP PED SPECIALTY CARE FOR CANCER & BLOOD DISORDERS
5 TCH CENTER FOR CANCER & BLOOD DISORDERS
320 E FONTANERO STREET
COLORADO SPRINGS,CO80907 		OP PED SPECIALTY CARE FOR CANCER & BLOOD DISORDERS
6 TCH CENTER FOR CANCER & BLOOD DISORDERS
320 E FONTANERO STREET
COLORADO SPRINGS,CO80907 		OP PED SPECIALTY CARE FOR CANCER & BLOOD DISORDERS
7 TCH CENTER FOR CANCER & BLOOD DISORDERS
320 E FONTANERO STREET
COLORADO SPRINGS,CO80907 		OP PED SPECIALTY CARE FOR CANCER & BLOOD DISORDERS
8 TCH CENTER FOR CANCER & BLOOD DISORDERS
320 E FONTANERO STREET
COLORADO SPRINGS,CO80907 		OP PED SPECIALTY CARE FOR CANCER & BLOOD DISORDERS
9 TCH CENTER FOR CANCER & BLOOD DISORDERS
320 E FONTANERO STREET
COLORADO SPRINGS,CO80907 		OP PED SPECIALTY CARE FOR CANCER & BLOOD DISORDERS
10 TCH CENTER FOR CANCER & BLOOD DISORDERS
320 E FONTANERO STREET
COLORADO SPRINGS,CO80907 		OP PED SPECIALTY CARE FOR CANCER & BLOOD DISORDERS
11 TCH CENTER FOR CANCER & BLOOD DISORDERS
320 E FONTANERO STREET
COLORADO SPRINGS,CO80907 		OP PED SPECIALTY CARE FOR CANCER & BLOOD DISORDERS
12 TCH CENTER FOR CANCER & BLOOD DISORDERS
320 E FONTANERO STREET
COLORADO SPRINGS,CO80907 		OP PED SPECIALTY CARE FOR CANCER & BLOOD DISORDERS
13 TCH CENTER FOR CANCER & BLOOD DISORDERS
320 E FONTANERO STREET
COLORADO SPRINGS,CO80907 		OP PED SPECIALTY CARE FOR CANCER & BLOOD DISORDERS
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
PART I, LINE 3C   CHILDREN'S HOSPITAL COLORADO DOES USE FPG TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
PART I, LINE 6A   YES, CHILDREN'S HOSPITAL COLORADO PREPARED A COMMUNITY BENEFIT REPORT DURING THE TAX YEAR. CHILDREN'S HOSPITAL COLORADO INCLUDES SELECT COMMUNITY BENEFIT INFORMATION IN THE HOSPITAL'S ANNUAL REPORT AND ALSO MAKES COMMUNITY BENEFIT INFORMATION PUBLICLY AVAILABLE ON THE HOSPITAL'S WEBSITE. CHILDREN'S COLORADO ALSO REGULARLY HIGHLIGHTS COMMUNITY BENEFIT EFFORTS IN A NUMBER OF COMMUNICATION VEHICLES INCLUDING MEDIA STORIES AND PUBLICATIONS SUCH AS THE COLORADO HOSPITAL ASSOCIATION'S ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7   IN 2010 CHILDREN'S HOSPTIAL COLORADO PROVIDED $110,256,671, 18.95% OF TOTAL OPERATING EXPENSES, IN BENEFIT TO THE COMMUNITY. UNCOMPENSATED AND CHARITY CARE AT CHILDREN'S HOSPITAL COLORADO ACCOUNTED FOR $60,434,318, OR 10.39% OF TOTAL OPERATING EXPENSES, OF THE TOTAL. MEDICAID PAYMENT SHORTFALLS CONTINUE TO LEAD THE WAY, ACCOUNTING FOR $62,111,579 OF THE TOTAL SHORTFALL. IN 2010, MEDICAID VOLUME, AS A PERCENTAGE OF TOTAL PATIENT CHARGES, WAS 39.9 PERCENT WITH REIMBURSEMENT ONLY BEING 71.0 PERCENT OF COST. CHILDREN'S HOSPITAL COLORADO IS COMMITTED TO SERVING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. OTHER BENEFITS ACCOUNTED FOR $49,822,353, 8.56% OF TOTAL OPERATING EXPENSES, OF THE TOTAL $110,256,671 BENEFIT TO THE COMMUNITY. OTHER BENEFITS INCLUDE HEALTH PROFESSIONS EDUCATION ($16,630,086, OR 2.86% OF TOTAL OPERATING EXPENSES), RESEARCH ACTIVITY ($16,860,870, OR 2.90% OF TOTAL OPERATING EXPENSES), COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS ($5,006,242, OR 0.86% OF TOTAL OPERATING EXPENSES), AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS ($1,396,062, OR 0.24% OF TOTAL OPERATING EXPENSES).
PART I, LINE 7G   SUBSIDIZED HEALTH SERVICES ARE THOSE WHICH CHILDREN'S HOSPITAL COLORADO PROVIDES TO ITS PATIENT POPULATION AT A LOSS. THE PRIMARY PROGRAMS ASSOCIATED WITH THESE LOSSES ARE MENTAL HEALTH, SCHOOL HEALTH AND REHABILITATION SERVICES. ALSO, INCLUDED IN THE NET COMMUNITY BENEFIT EXPENSE IS THE OPERATING LOSS RELATED TO THE HOSPITAL'S INVESTMENT IN AN AMBULATORY SURGERY CENTER. THE NUMBER REFLECTED IN SUBSIDIZED HEALTH SERVICES EXCLUDES MEDICAID SHORTFALLS.
PART III, LINE 4   THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE ADDRESSING BAD DEBT EXPENSE. CHILDREN'S HOSPITAL COLORADO ESTIMATES BAD DEBT RESERVES BASED ON HISTORICAL EXPERIENCE. THE HOSPITAL EXPENSES UNCOLLECTIBLE BALANCES 120 DAYS AFTER THE FIRST BILLING CYCLE. THE HOSPITAL DOES NOT REPORT ANY BAD DEBT AMOUNT IN COMMUNITY BENEFIT.
PART III, LINE 8   THE SHORTFALL REPORTED IN LINE 7 REPRESENTS MEDICARE SHORTFALLS FOR HIGH NEEDS PEDIATRIC PATIENTS SERVED BY CHILDREN'S COLORADO. IF CHILDREN'S COLORADO DID NOT SUBSIDIZE THIS HIGHLY SPECIALIZED CARE, ACCESS FOR THIS POPULATION WOULD BE LIMITED, THUS WE VIEW THIS CARE AS COMMUNITY BENEFIT. THE HOSPITAL UTILIZED COST TO CHARGE RATIO METHODOLOGY TO ARRIVE AT THIS NUMBER. THE AMOUNT INCLUDES ALL PAYMENTS SHORT OF COSTS.
PART III, LINE 9B   YES, THE ORGANIZATION DOES HAVE A WRITTEN DEBT COLLECTION POLICY. PRIOR TO DEBT REFERRALS, ACCOUNTS WITH ANY CHARITY CARE OR FINANCIAL ASSISTANCE CASES ARE REVIEWED TO ENSURE THE BALANCE IS NOT DUE FROM AN OUTSIDE PAYER. ONCE CONFIRMED THE OUTSTANDING BALANCE IS THE PATIENT'S RESPONSIBILITY, THE HOSPITAL PROVIDES SLIDING SCALE DISCOUNTS BASED ON INCOME AND/OR EXPENSES. PARENTS WHOSE CHILDREN DO NOT QUALIFY FOR MEDICAID CAN ALSO APPLY FOR THIS DISCOUNT PLAN. THE HOSPITAL HAS A DEDICATED FINANCIAL COUNSELING DEPARTMENT THAT WORKS CLOSELY WITH PARENTS TO ESTABLISH PAYMENT PLANS.
PART VI, LINE 2 NEEDS ASSESSMENT ACROSS THE HOSPITAL, NUMEROUS INTERNAL AND EXTERNAL DATA SOURCES ARE REGULARLY MONITORED AND UTILIZED TO IDENTIFY TRENDS AND OPPORTUNITIES TO IMPACT CHILD HEALTH. IN TERMS OF A FORMAL COMMUNITY NEEDS ASSESSMENT, CHILDREN'S COLORADO CONTRACTED WITH A THIRD PARTY, THE CENTER FOR PUBLIC HEALTH PRACTICE AT THE COLORADO SCHOOL OF PUBLIC HEALTH, TO CONDUCT A HEALTH CARE NEEDS ASSESSMENT REGARDING COLORADO CHILDREN, BEGINNING IN 2010. THE ASSESSMENT WILL CONSIDER THREE OVERLAPPING COMMUNITIES - THE IMMEDIATE COMMUNITY WHERE THE HOSPITAL MAIN CAMPUS IS LOCATED, OUR PRIMARY SERVICE AREA, AND THE ENTIRE STATE OF COLORADO. THE METHODS USED WILL BE TO ASSESS HEALTH OUTCOMES AND RISK FACTORS FOR ALL CHILDREN UNDER AGE 21 IN THESE POPULATIONS USING BOTH QUANTITATIVE AND QUALITATIVE METHODS. THE QUANTITATIVE METHODS WILL ASSESS HEALTH MEASURES IN PREVIOUSLY-COLLECTED DATA FROM VARIOUS SOURCES, AS PUBLISHED OR AS AVAILABLE ONLINE FOR ANALYSIS. THE QUALITATIVE METHODS USED WILL BE BOTH KEY INFORMANTS AND FOCUS GROUPS COMPRISED OF COMMUNITY MEMBERS.
PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CHILDREN'S HOSPITAL COLORADO HAS A PROCESS FOR INFORMING AND EDUCATING FAMILIES ABOUT HOW THEY MAY BE BILLED FOR PATIENT CARE AND THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. CHILDREN'S HOSPITAL COLORADO'S FULL-TIME PATIENT FINANCIAL COUNSELORS ARE DEDICATED TO WORKING WITH FAMILIES TO PROVIDE GUIDANCE REGARDING AVAILABLE FINANCIAL ASSISTANCE WHICH ENSURES THAT ITS PATIENT POPULATION RECEIVES THE CRITICAL CARE IT NEEDS. ADDITIONALLY, CHILDREN'S PROVIDES PATIENT ASSISTANCE TO HELP IDENTIFY COMMUNITY-BASED RESOURCES, FACILITATE SERVICES AND PROVIDE APPROPRIATE REFERRAL ASSISTANCE TO HELP WITH CONTINUITY OF CARE. INPATIENT PROCESS: THIS PROCESS APPLIES TO PATIENTS WHO ARE BEING ADMITTED FOR OBSERVATION, SURGERY OR OTHER INPATIENT SERVICES. IF THE PATIENT IS PRE-SCHEDULED, CHILDREN'S PATIENT ACCESS WORKS TO CONTACT THE FAMILY PRIOR TO ADMISSION TO ARRANGE FOR A FINANCIAL SCREENING APPOINTMENT. REGARDLESS OF WHETHER AN APPOINTMENT IS SET PRIOR TO ADMISSION, THE PATIENT FINANCIAL COUNSELING TEAM WORKS WITH THE FAMILY TO DETERMINE THEIR SELF-PAY STATUS (EITHER NON-COMMERCIAL OR GOVERNMENT INSURANCE) AND SUBSEQUENTLY WORKS WITH THEM TO SCREEN FOR FINANCIAL ASSISTANCE OPTIONS. OUTPATIENT PROCESS: WHEN A PATIENT SCHEDULES A NON-EMERGENT OR URGENT OUTPATIENT CLINIC VISIT, THEY WILL IDENTIFY THEMSELVES AS SELF-PAY IF THEY DO NOT HAVE EITHER COMMERCIAL OR GOVERNMENT INSURANCE. AT THIS POINT, THEY ARE GIVEN TWO OPTIONS: (1) PAY $200 DEPOSIT AT THE TIME OF APPOINTMENT AND BE BILLED ANY REMAINING BALANCE OR (2) SCHEDULE TIME WITH PATIENT FINANCIAL COUNSELING FOR ASSISTANCE. IF THE PATIENT WAS SEEN IN THE EMERGENCY DEPARTMENT OR URGENT CARE WITHOUT THE PRE-SCREEN, THEY STILL HAVE THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE WITH THE PATIENT FINANCIAL COUNSELING OFFICE. ALL SELF-PAY FAMILIES ARE AUTOMATICALLY GIVEN A 35 PERCENT DISCOUNT. CHILDREN'S HOSPITAL COLORADO HAS A FORMAL POLICY REGARDING ELIGIBILITY CRITERIA FOR CHARITY CARE. THE DECISION TO PROVIDE CHARITY CARE WILL BE, IN ALL CASES, BASED ON A REVIEW OF THE INCOME, ASSETS AND LIABILITIES OF THE FAMILY AT THE TIME OF ADMISSION TO THE HOSPITAL OR CLINIC. THE LEVELS OF CHARITY CARE AND FINANCIAL ASSISTANCE PROVIDED BY CHILDREN'S HOSPITAL COLORADO WILL BE DETERMINED BASED ON FEDERAL POVERTY GUIDELINES WHICH MAY BE ADJUSTED UP TO 250 PERCENT AND REVISED FROM TIME TO TIME. FAMILIES WITH ADJUSTED GROSS INCOME BETWEEN 250 PERCENT AND 400 PERCENT OF FEDERAL POVERTY GUIDELINES MAY ALSO BE CONSIDERED FOR CHARITY CARE WITH A CAP FOR OUT-OF-POCKET RESPONSIBILITY. DETERMINATION OF ELIGIBILITY WILL BE EFFECTIVE FOR SIX MONTHS AND WILL APPLY TO ALL PATIENTS REGARDLESS OF IMMIGRATION STATUS. CHILDREN'S COLORADO WORKS TO PROVIDE NECESSARY HOSPITAL-RELATED SERVICES CONSISTENT WITH ITS MISSION, ITS STATUS AS A NONPROFIT HOSPITAL AND ITS STEWARDSHIP RESPONSIBILITY TO ITS DONORS.
PART VI, LINE 4 COMMUNITY INFORMATION CHILDREN'S HOSPITAL COLORADO SERVES INFANTS, TODDLERS, ADOLESCENTS, TEENS AND YOUNG ADULTS, PRIMARILY FROM NEWBORNS THROUGH AGE 21. CHILDREN'S COLORADO ALSO TREATS INDIVIDUALS OVER THE AGE OF 21 WITH SPECIAL NEEDS OR CONGENITAL DISORDERS THAT REQUIRE CONTINUED CARE. CHILDREN, NEWBORN TO AGE 2, REPRESENT THE LARGEST PROPORTION OF THE POPULATION SERVED BY CHILDREN'S COLORADO. IN THE STATE OF COLORADO, THERE ARE APPROXIMATELY ONE MILLION CHILDREN AND ADOLESCENTS; 70 PERCENT RESIDE WITHIN DENVER'S SEVEN COUNTY METROPOLITAN AREA, BORDERED ON THE NORTH BY BROOMFIELD COUNTY AND ON THE SOUTH BY DOUGLAS COUNTY. CHILDREN'S COLORADO SERVES PATIENTS AND FAMILIES FROM THE SEVEN-STATE MOUNTAIN REGION, WITH 10 PERCENT OF ITS PATIENT POPULATION TRAVELING FROM OUT OF THE STATE. IN ADDITION, CHILDREN'S COLORADO DELIVERS HIGH-QUALITY CARE IN MORE THAN 400 OUTREACH CLINICS OUTSIDE ITS PRIMARY SERVICE AREA EACH YEAR. DEMOGRAPHICALLY, CHILDREN SERVED HAVE DIVERSE CULTURAL AND ETHNIC BACKGROUNDS -- CHILDREN'S HOSPITAL COLORADO TRANSLATES MEDICAL CARE AND EDUCATION INSTRUCTIONS INTO 65 LANGUAGES (INCLUDING SIGN LANGUAGE) TO DELIVER CULTURALLY SENSITIVE, HIGH-QUALITY PEDIATRIC HEALTHCARE. THE MAJORITY OF ITS PATIENTS SPEAK ENGLISH, FOLLOWED BY SIGNIFICANT NUMBERS OF FAMILIES WHO SPEAK SPANISH, ARABIC, BURMESE, VIETNAMESE, SOMALIAN, RUSSIAN, AND KOREAN. CHILDREN'S HOSPITAL COLORADO IS THE LARGEST PROVIDER OF HEALTH CARE SERVICES FOR LOW-INCOME CHILDREN IN COLORADO, WITH 44.6 PERCENT OF ALL PATIENTS SERVED COVERED BY MEDICAID INSURANCE OR OTHER GOVERNMENT PROGRAMS; 53.1 PERCENT OF CHILDREN ARE INSURED BY COMMERCIAL INSURANCE, WHILE 2.3 PERCENT OF CHILDREN ARE NOT INSURED.
PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH THERE ARE A SIGNIFICANT NUMBER OF INITIATIVES LED BY CHILDREN'S HOSPITAL COLORADO THAT IMPACT THE HEALTH AND SAFETY OF CHILDREN IN THE COMMUNITY - TO DESCRIBE ALL OF THEM IN DETAIL IS NOT REALISTIC IN A LIMITED SPACE, THUS BELOW ARE SOME OF THE HIGHLIGHTS. CHILDREN'S HOSPITAL COLORADO ANNUALLY PROVIDES NEARLY 20% OF TOTAL OPERATING EXPENSES IN BENEFIT TO THE COMMUNITY BY COMMITTING TO IMPROVING THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH-QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY. CHILDREN'S COLORADO WORKS TO DELIVER ON THIS MISSION NOT ONLY IN THE DENVER METRO AREA AND THE STATE OF COLORADO, BUT ALSO THROUGHOUT THE ROCKY MOUNTAIN REGION. OUR BOARD OF DIRECTORS AT THE TIME OF FILING THIS FORM 990, THE BOARD OF DIRECTORS OF CHILDREN'S HOSPITAL COLORADO IS MADE UP OF 22 VOLUNTEERS FROM THE DENVER AREA COMMUNITY AND FIVE EXECUTIVE LEADERS FROM THE HOSPITAL AND ITS AFFILIATED INSTITUTIONS. BOARD SERVICE IS A COMMITMENT TO HELP FURTHER THE HOSPITAL'S MISSION OF IMPROVING THE HEALTH OF CHILDREN THROUGH THE PROVISION OF HIGH QUALITY, COORDINATED PROGRAMS OF PATIENT CARE, EDUCATION, RESEARCH AND ADVOCACY. THE BOARD REPRESENTS THE COMMUNITY AT LARGE AND PROVIDES EXPERTISE IN MANY AREAS OF BUSINESS AND COMMUNITY RELATIONS, SUCH AS BANKING, REAL ESTATE, INSURANCE, MARKETING/PR, ETC. ALL ARE PASSIONATE ABOUT THE HOSPITAL'S MISSION, MANY THROUGH PERSONAL EXPERIENCE, AND MOST HAVE THE ABILITY TO FUNDRAISE. WHILE THE MAJORITY OF BOARD OF DIRECTORS ARE CAUCASIAN, BOARD COMPOSITION IS ALSO REPRESENTATIVE OF THE AFRICAN-AMERICAN AND LATINO POPULATIONS. CHILDREN'S HEALTH ADVOCACY INSTITUTE IN 2010, THE HOSPITAL FURTHER DEMONSTRATED ITS COMMITMENT TO THE COMMUNITY BY ESTABLISHING THE CHILDREN'S HEALTH ADVOCACY INSTITUTE (CHAI). THE MISSION OF CHAI IS TO IMPROVE THE HEALTH AND SAFETY OF CHILDREN BY ENGAGING PUBLIC AND PRIVATE PARTNERS IN CREATING A THRIVING COMMUNITY FOR CHILDREN. IN ITS FIRST YEAR, CHAI FORMED A RELATIONSHIP WITH THE COLORADO SCHOOL OF PUBLIC HEALTH TO IDENTIFY COMMUNITY HEALTH NEEDS. THE FINDINGS WILL BE USED TO DEVELOP SHORT- AND LONG-TERM STRATEGIC PLANS TO ADDRESS THE HEALTH AND SAFETY NEEDS IDENTIFIED. ACKNOWLEDGING THE EDUCATION SYSTEM AS A KEY PARTNER IN IMPROVING THE HEALTH AND WELL BEING OF CHILDREN IN THE COMMUNITY, CHAI LAUNCHED A NUMBER OF INITIATIVES IN 2010 IN PARTNERSHIP WITH COLORADO SCHOOLS. THIS INCLUDES A STATE SAFE ROUTES TO SCHOOL NETWORK THAT PROMOTES INCREASED PHYSICAL ACTIVITY IN YOUTH BY WORKING WITH LOCAL OFFICIALS AND COMMUNITY ORGANIZATIONS TO CREATE SAFE AND WALKABLE/BIKABLE ROUTES TO SCHOOL. CHAI ALSO LAUNCHED AN INITIATIVE THAT PROVIDES COMPREHENSIVE HEALTH AND SAFETY LESSON PLANS AND TEACHER RESOURCES TO NEARLY 500 SCHOOLS IN SIX COUNTIES. THIS TRANSLATES TO NEARLY 350,000 STUDENTS IN GRADES K-12 POTENTIALLY IMPACTED IF THE RESOURCE IS FULLY UTILIZED BY THE SCHOOLS. OTHER CHAI PROGRAMS INITIATED IN 2010 INCLUDED ESTABLISHING THE STATE SAFE KIDS OFFICE FOR COLORADO AS WELL AS THE ONGOING LEADERSHIP OF THE SAFE KIDS DENVER METRO COALITION. THE MISSION OF SAFE KIDS IS TO IDENTIFY AND PREVENT INJURIES IN CHILDREN AGES 14 AND YOUNGER THROUGH A COMBINED PROGRAM OF EDUCATION, RESEARCH, ADVOCACY AND MEDIA. ACCIDENTAL CHILDHOOD INJURY IS A LEADING KILLER OF CHILDREN 14 AND UNDER, SO EFFORTS TO EDUCATE ABOUT SAFETY, INJURY AND TRAUMA PREVENTION ARE CRITICAL TO HELP AVOID THESE UNNECESSARY TRAGEDIES. EXAMPLES OF ACTIVITIES THAT CHILDREN'S COLORADO AND SAFE KIDS PROMOTES ARE CAR SEAT INSTALLATIONS AND INSPECTIONS, BICYCLE HELMET SAFETY EDUCATION AND DISTRIBUTION OF CARBON MONOXIDE ALARMS. RECOGNIZING THE LINK BETWEEN MENTAL HEALTH AND PHYSICAL HEALTH, CHAI OFFERED A BODY IMAGE EVENT WITH LOCAL GIRL SCOUT TROOPS IN FEBRUARY 2010. THE EVENT IS LED BY BEHAVIORAL HEALTH EXPERTS INCLUDING THOSE SPECIALIZING IN EATING DISORDERS AND IS DESIGNED TO TEACH PRE-TEEN GIRLS ABOUT HEALTHY SELF IMAGE AND SUPPORT THEM IN MAINTAINING A HEALTHY OUTLOOK AS THEY ENTER THE TEEN YEARS. THE GIRLS EARN A BADGE AT THE END OF THE WORKSHOP, AND PARENTS AND TROOP LEADERS PARTICIPATE IN EDUCATIONAL SESSIONS THROUGHOUT THE DAY AS WELL. PARTNERING WITH PRIMARY CARE PHYSICIANS CHILDREN'S HOSPITAL COLORADO WORKS CLOSELY WITH PRIMARY CARE PHYSICIANS AND FAMILY PRACTICES IN THE COMMUNITY TO ENSURE THAT CHILDREN HAVE A MEDICAL HOME AND EXPERIENCE A CONTINUUM OF CARE. IT HAS PARTNERED WITH COMMUNITY PEDIATRICIANS TO DEVELOP CLINICAL PATHWAYS FOR CHRONIC CONDITIONS SUCH AS ASTHMA, BRONCHILITIS AND CROUP THAT HELP PRIMARY CARE PROVIDERS AND FAMILIES MANAGE ONGOING HEALTH CONDITIONS FOR THEIR CHILDREN. CHILDREN'S COLORADO ALSO ACTIVELY SUPPORTS AND PROVIDES IMMUNIZATIONS IN COLLABORATION WITH THE COMMUNITY THROUGH ONGOING EDUCATION AND IMMUNIZATION FAIRS. MEDICAL FACULTY PROFILE CHILDREN'S HOSPITAL COLORADO HAS AN OPEN MEDICAL STAFF, MEANING COMMUNITY PRACTITIONERS CAN HOLD PRIVILEGES AT THE HOSPITAL. IT HAS APPROXIMATELY 1,700 MEDICAL STAFF MEMBERS THAT INCLUDE ADVANCED PRACTICE NURSES, MORE THAN HALF OF WHOM ARE COMMUNITY-BASED. THOUGH THERE ARE THOUSANDS OF REFERRING PROVIDERS ALONG THE FRONT RANGE OF THE ROCKY MOUNTAINS AND THE PRAIRIES, CHILDREN'S HOSPITAL COLORADO'S COMMUNITY STAFF MEMBERS ARE ITS FRONT-LINE PARTNERS IN ADVANCING A CONTINUUM OF CARE FOR YOUNG PATIENTS. ITS COMMUNITY CLINICAL STAFF MEMBERS PROVIDE TRAINING OPPORTUNITIES IN PRIMARY CARE FOR MEDICAL STUDENTS AND RESIDENTS HELPING TO BROADEN THE MEDICAL EDUCATION OF TOMORROW'S PEDIATRIC DOCTORS. CHILDREN'S HOSPITAL COLORADO IS AFFILIATED WITH FAMILY MEDICINE RESIDENCY PROGRAMS IN COLORADO AND WYOMING. THIS PROVIDES FOR A PEDIATRIC ROTATION AT THE HOSPITAL WHICH PROVIDES A SIGNIFICANT BENEFIT TO THE REGION THAT HAS A LARGE RURAL POPULATION AND A SHORTAGE OF RURAL PHYSICIANS. CHILDREN'S HOSPITAL COLORADO ALSO ENSURES THAT THE PRIMARY CARE PERSPECTIVE IS ADDRESSED IN DISCUSSIONS ABOUT HOW TO BEST PROVIDE THE BROADEST SPECTRUM OF CARE TO THE REGION'S CHILDREN. ADDTIONALLY, BOTH HOSPITAL AND COMMUNITY MEDICAL STAFF SERVE ON VARIOUS BOARDS AND COMMITTEES, SUCH AS THE COLORADO CHAPTER OF THE AAP, MDA NATIONAL CLINICAL ADVISORY COMMITTEE, COLORADO CHILDREN'S IMMUNIZATION COALITION, THE STATE TRAUMA BOARD, VARIOUS HEALTH ADVISORY BOARDS AND NUMEROUS SCHOOL HEALTH PROGRAMS. MANY PARTICIPATE IN INTERNATIONAL MEDICAL MISSIONS TO IMPROVE THE HEALTH OF CHILDREN WORLDWIDE. LEGISLATIVE ADVOCACY AS PART OF ITS ONGOING MISSION, CHILDREN'S COLORADO IS COMMITTED TO ADVOCATING ON BEHALF OF CHILDREN BY WORKING TO INFLUENCE PUBLIC POLICY BOTH AT A HIGH LEVEL AND THROUGH GRASSROOTS SUPPORT. IT PROACTIVELY SUPPORTS LEGISLATION ON BEHALF OF PEDIATRIC HEALTHCARE INTERESTS ON A LOCAL, STATE AND NATIONAL LEVEL. BOTH COMMUNITY AND HOSPITAL STAFF SERVE ON ADVOCACY COMMITTEE GROUPS THAT INFLUENCE LEGISLATION THAT PROMOTES CHILDREN'S HEALTHCARE ISSUES. CHILDREN'S COLORADO HAS ALSO DEVELOPED A GRASSROOTS ADVOCACY NETWORK TO MAKE IT SIMPLE FOR ALL COMMUNITY MEMBERS TO SPEAK UP ON BEHALF OF CHILD HEALTH ISSUES WHICH SIGNIFICANTLY ADDS POWER TO THE EFFORTS THE HOSPITAL CONDUCTS ON ITS OWN. DURING 2010, CHILDREN'S COLORADO LED A SUCCESSFUL EFFORT TO STRENGTHEN COLORADO'S BOOSTER SEAT LAW BY RAISING THE AGE REQUIREMENT TO EIGHT YEARS. CHILDREN'S ALSO PLAYED A KEY ROLE IN THE PASSAGE OF LEGISLATION CODIFYING STREET ENGINEERING TO INCLUDE BIKE AND PEDESTRIAN AS MODES OF TRANSPORTATION AND IMPLEMENTING A BICYCLE SAFETY SCHOOL CURRICULUM FOR YOUTH. ADDITIONALLY, THE HOSPITAL WAS ACTIVELY INVOLVED IN EDUCATING POLICYMAKERS AND THE PUBLIC ABOUT THE PEDIATRIC COMPONENTS OF THE AFFORDABLE CARE ACT PASSED BY CONGRESS IN 2010. SIBLING AND FAMILY CARE CHILDREN'S HOSPITAL COLORADO PROVIDES SPECIAL SERVICES TO PATIENTS' SIBLINGS. IN 2006, CHILDREN'S HOSPITAL COLORADO CREATED A SIBLING DAY CAMP FOR SIBLINGS OF PATIENTS RECEIVING TREATMENT IN CHILDREN'S CENTER FOR CANCER AND BLOOD DISORDERS. THIS CAMP HAS BEEN ACTIVELY RUNNING FOR FOUR YEARS AND IS A CRITICAL COMPONENT OF FAMILY CENTERED CARE. THE BROTHERS AND SISTERS OF PATIENTS AT CHILDREN'S HOSPITAL COLORADO OFTEN LIVE IN THE SHADOW OF THEIR SIBLING'S ILLNESS. THESE CHILDREN SENSE THEIR PARENTS ARE ALREADY OVERWHELMED AND DON'T FEEL COMFORTABLE VOCALIZING THEIR FEELINGS AND FEEL EXCLUDED. THE CAMP OFFERS THESE CHILDREN AN OPPORTUNITY TO EXPRESS THEIR FEELINGS THROUGH DISCUSSION, PLAY ACTIVITIES AND EXPRESSIVE ART THERAPY. BEREAVEMENT GROUPS AND SPECIALIZED SUPPORT GROUPS FOR FAMILIES DEALING WITH A PARTICULAR ILLNESS ARE ALSO OFFERED THROUGHOUT THE HOSPITAL AS A MEANS TO ENSURE THE NEEDS OF THE ENTIRE FAMILY ARE BEING MET. OTHER EFFORTS TO MEET THE NEEDS OF FAMILIES BEYOND PROVISION OF MEDICAL CARE INCLUDED NEARLY 17,000 STAFF HOURS SPENT PROVIDING FINANCIAL COUNSELING FOR FAMILIES AS WELL AS MANAGING PROGRAMS SUCH AS THE FAMILY NAVIGATOR, WHICH HELPS CONNECT FAMILIES OF CHILDREN WITH COMPLEX MEDICAL NEEDS WITH NEEDED SERVICES AND SUPPORTS UPON LEAVING THE HOSPITAL AND RETURNING TO THE COMMUNITY, AND THE MEDICAL LEGAL PARTNERSHIP, WHICH
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
CHILDREN'S HOSPITAL COLORADO
FKA THE CHILDREN'S HOSPITAL ASSOCIATION
Employer identification number
84-0166760
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) ROUND UP RIVER RANCHPO BOX 8589
AVON,CO81620 		20-4632248 501(C)(3) 10,000       GENERAL PROGRAM
(2) CHILDREN'S HEALTH FOUNDATION400 WEST MAIN ST
ASPEN,CO81611 		20-2015631 501(C)(3) 10,000       GENERAL PROGRAM
(3) COLORADO HOSPITAL ASSOCIATION7335 E ORCHARD
GREENWOOD VILLAGE,CO80111 		84-0468242 501(C)(6) 10,000       GENERAL PROGRAM
(4) FETAL HOPE FOUNDATION9786 SOUTH HOLLAND ST
LITTLETON,CO80127 		20-0837174 501(C)(3) 12,500       GENERAL PROGRAM
(5) COLORADO CHILDREN'S CAMPAIGN225 E 16TH AVENUE
DENVER,CO80203 		74-2374672 501(C)(3) 15,000       GENERAL PROGRAM
(6) GLOBAL DOWN SYNDROME FOUNDATION3300 EAST 1ST AVENUE
DENVER,CO80206 		26-4431001 501(C)(3) 10,000       GENERAL PROGRAM
(7) AURORA ECONOMIC DEVELOPMENT14001 E ILIFF AVENUE
AURORA,CO80014 		84-0776480 501(C)(6) 20,000       GENERAL PROGRAM
(8) MARCH OF DIMES FOUNDATION1325 S COLORADO BLVD
DENVER,CO80222 		13-1846366 501(C)(3) 30,000       GENERAL PROGRAM
(9) KROENKE SPORTS CHARITIES1000 CHOPPER CIRCLE
DENVER,CO80204 		84-1511484 501(C)(3) 165,000       GENERAL HEALTH
(10) COLORADO CHILDREN IMM COALITION13123 EAST 16TH AVE
AURORA,CO80045 		84-1479975 501(C)(3)   36,000 INQUIRY   GENERAL HEALTH
(11) THE CHILDREN'S MUSEUM2121 CHILDRENS MUSEUM DR
DENVER,CO80211 		84-0658142 501(C)(3)   20,133 INQUIRY NIGHT LIGHTS GENERAL HEALTH
(12) ENTERCOM4700 S SYRACUSE ST
DENVER,CO80237 		80-0617731     8,086 INQUIRY   GENERAL HEALTH
(13) THE WILDLIFE EXPERIENCE10035 SOUTH PEORIA ST
PARKER,CO80104 		84-1511730 501(C)(3) 25,000       GENERAL HEALTH
(14) AURORA CHAMBER OF COMMERCE14305 E ALAMEDA AVE
AURORA,CO80012 		84-0417773 501(C)(3) 6,180       GENERAL PROGRAM
(15) DOUGLAS COUNTY SOCCER ASSOC DBA REAL COLORAD8200 SOUTH AKRON ST
CENTENNIAL,CO80112 		74-2392779 501(C)(3) 100,000       GENERAL PROGRAM
(16) ST ANTHONY HOSPITAL FOUNDATION4231 W 16TH AVE
DENVER,CO80204 		84-0902211 501(C)(3) 5,500       GENERAL PROGRAM
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
14
3
Enter total number of other organizations ................................ . Bullet Image
2
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CHILDREN'S HOSPITAL COLORADO
FKA THE CHILDREN'S HOSPITAL ASSOCIATION
Employer identification number

84-0166760
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) JAMES E SHMERLING DHA (i)
(ii)		 689,263
0 		496,829
0 		25,843
0 		122,356
0 		14,767
0 		1,349,057
0 		0
0
(2) JENA HAUSMANN (i)
(ii)		 372,303
0 		193,118
0 		17,023
0 		64,122
0 		14,594
0 		661,160
0 		0
0
(3) LEONARD J DRYER JR (i)
(ii)		 333,278
0 		139,531
0 		92,727
0 		14,700
0 		14,579
0 		594,816
0 		0
0
(4) MARY ANNE LEACH (i)
(ii)		 248,984
0 		80,035
0 		22,949
0 		36,409
0 		6,115
0 		394,493
0 		0
0
(5) JOHN LACOUTURE (i)
(ii)		 271,994
0 		86,597
0 		801
0 		27,103
0 		14,385
0 		400,880
0 		0
0
(6) KELLY JOHNSON (i)
(ii)		 234,812
0 		70,875
0 		11,389
0 		29,585
0 		13,946
0 		360,607
0 		0
0
(7) JEFFREY HARRINGTON (i)
(ii)		 197,223
0 		68,107
0 		17,107
0 		30,827
0 		13,809
0 		327,073
0 		0
0
(8) MICHEAL WUKITSCH (i)
(ii)		 222,047
0 		64,417
0 		17,195
0 		32,797
0 		14,358
0 		350,814
0 		0
0
(9) SUZY JAEGER (i)
(ii)		 179,019
0 		57,424
0 		32,565
0 		29,412
0 		13,792
0 		312,212
0 		0
0
(10) JERROD MILTON (i)
(ii)		 155,442
0 		52,229
0 		20,807
0 		26,750
0 		11,859
0 		267,087
0 		0
0
(11) BETH GAFFNEY (i)
(ii)		 153,524
0 		58,868
0 		23,446
0 		25,742
0 		7,772
0 		269,352
0 		0
0
(12) AMY CASSERI (i)
(ii)		 264,832
0 		90,895
0 		15,656
0 		37,967
0 		13,368
0 		422,718
0 		0
0
(13) LINDA POWERS (i)
(ii)		 121,625
0 		34,151
0 		20,940
0 		10,418
0 		11,073
0 		198,207
0 		0
0
(14) MARGI MORSE (i)
(ii)		 109,016
0 		32,189
0 		22,314
0 		9,422
0 		11,073
0 		184,014
0 		0
0
(15) JOHN STRAIN (i)
(ii)		 322,502
0 		49,806
0 		37,971
0 		14,700
0 		14,015
0 		438,994
0 		0
0
(16) LAURA FENTON (i)
(ii)		 335,328
0 		49,806
0 		28,740
0 		14,700
0 		11,073
0 		439,647
0 		0
0
(17) JAMES INGRAM (i)
(ii)		 322,450
0 		49,806
0 		38,740
0 		14,700
0 		14,015
0 		439,711
0 		0
0
(18) ROGER HARNED (i)
(ii)		 342,061
0 		49,806
0 		16,129
0 		14,700
0 		14,015
0 		436,711
0 		0
0
(19) KARI HAYES (i)
(ii)		 345,882
0 		49,806
0 		16,740
0 		14,700
0 		11,555
0 		438,683
0 		0
0
(20) JOAN BOTHNER MD (i)
(ii)		 405,060
0 		134,611
0 		0
0 		0
0 		0
0 		539,671
0 		0
0
(21) DENNIS MATTHEWS (i)
(ii)		 158,063
0 		66,570
0 		0
0 		0
0 		0
0 		224,633
0 		0
0
(22) STEPHEN DANIELS (i)
(ii)		 259,375
0 		85,729
0 		0
0 		0
0 		0
0 		345,104
0 		0
0
(23) DANIEL HYMAN MD (i)
(ii)		 342,609
0 		90,319
0 		0
0 		0
0 		0
0 		432,928
0 		0
0
(24) FRED SUCHY (i)
(ii)		 32,459
0 		0
0 		0
0 		0
0 		0
0 		32,459
0 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
SUPPLEMENTAL COMPENSATION INFORMATION   SCHEDULE J, PART I, LINE 4B CHILDREN'S HOSPITAL COLORADO ("CHILDREN'S COLORADO") SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WAS FROZEN. LEONARD J. DRYER, JR. IS THE ONLY PARTICIPANT IN THE PLAN. THERE WERE NO CONTRIBUTIONS OR PAYOUTS DURING 2010. SCHEDULE J, PART I, LINE 7 CERTAIN INDIVIDUALS ARE ELIGIBLE TO PARTICIPATE IN THE INCENTIVE PLAN FOR CHILDREN'S COLORADO, THE COMPONENTS OF WHICH INCLUDE ACHIEVEMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE GOALS. BECAUSE THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS RESERVES THE RIGHT TO CHANGE, AMEND OR TERMINATE THIS PLAN AT ANY TIME, FOR ANY REASON, AT ITS SOLE DISCRETION AND BECAUSE OF CERTAIN OTHER CONDITIONS OF THE PLAN, LINE 7 REGARDING "NON-FIXED PAYMENTS" IS ANSWERED YES. NOTE THAT PRIOR TO THE PAYMENT OF ANY AMOUNTS TO AN INDIVIDUAL WHO IS CONSIDERED A DISQUALIFIED PERSON, THE COMPENSATION COMMITTEE SHALL CERTIFY IN WRITING THE EXTENT TO WHICH THE PERFORMANCE FACTORS ESTABLISHED BY THE COMPENSATION COMMITTEE HAVE BEEN SATISFIED AND SHALL APPROVE THE PAYMENT OF SUCH BONUSES TO SUCH INDIVIDUALS. SEE SCHEDULE O DISCLOSURE FOR PART VI, LINES 15A/B FOR ADDITIONAL INFORMATION ON EXECUTIVE COMPENSATION. OTHER INFORMATION CHILDREN'S COLORADO PAID UNIVERSITY PHYSICIANS INCORPORATED, AN UNRELATED TAX-EXEMPT ORGANIZATION, FOR SERVICES PROVIDED BY THE FOLLOWING INDIVIDUALS: JOAN BOTHNER, M.D. - $405,060 BASE COMPENSATION AND $134,611 OF 2009 BONUS PAID IN 2010 DENNIS MATTHEWS - $158,063 BASE COMPENSATION AND $66,570 OF 2009 BONUS PAID IN 2010 STEPHEN DANIELS - $269,375 BASE COMPENSATION AND $85,729 OF 2009 BONUS PAID IN 2010 DANIEL HYMAN, M.D. - $342,609 BASE COMPENSATION AND $90,319 OF 2009 BONUS PAID IN 2010 FRED SUCHY - $32,459 BASE COMPENSATION WITH NO BONUS
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
CHILDREN'S HOSPITAL COLORADO
FKA THE CHILDREN'S HOSPITAL ASSOCIATION
Employer identification number
84-0166760
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A CITY OF AURORA CO
  		84-6000564 05155XBT5 06-06-2008 258,814,487 SEE SCHEDULE O   X   X   X
B CITY OF AURORA CO
  		84-6000564 05155XBV0 12-10-2008 67,580,000 SEE SCHEDULE O   X   X   X
C CITY OF AURORA CO
  		84-6000564 05155XBX6 05-25-2010 59,999,130 SEE SCHEDULE O   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . .        
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 258,814,487 67,580,000 59,999,130  
4 Gross proceeds in reserve funds . .        
5 Capitalized interest from proceeds. 1,822,500   1,822,500  
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 2,564,487 580,000 875,313  
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 23,317,714   23,317,714  
11 Other spent proceeds . .        
12 Other unspent proceeds. . . 35,971,983   35,971,983  
13 Year of substantial completion . . . 2008 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X   X   X      
15 Were the bonds issued as part of an advance refunding issue?   X   X   X    
16 Has the final allocation of proceeds been made? . . X   X     X    
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X      
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X   X   X    
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X   X   X    
b Are there any research agreements that may result in private business use of bond-financed property? . . X     X   X    
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X     X   X    
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0 % 0.100 % 0 %  
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 % 0 % 0 %  
6 Total of lines 4 and 5 . . .. . . . . . 0 % 0.100 % 0 %  
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X      
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . . X   X   X      
2 Is the bond issue a variable rate issue? X   X     X    
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X   X    
b Name of provider .  
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .   X   X   X    
e Was a hedge terminated? .   X   X   X    
4a Were gross proceeds invested in a GIC? .   X   X   X    
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X    
6 Did the bond issue qualify for an exception to rebate? . . .   X   X   X    
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CHILDREN'S HOSPITAL COLORADO
FKA THE CHILDREN'S HOSPITAL ASSOCIATION
Employer identification number

84-0166760
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
(1) CHILDREN'S NORTH ASC
  		X   4,250,000 3,776,000   No Yes   Yes  
Total ...............Small Bullet $ 3,776,000
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) WELLS FARGO HONIG-TCH DIRECTOR 423,512 BANKING SERVICE FEES   No
(2) LOCKTON COMPANY LINDSAY-TCH DIRECTOR 400,000 CONSULTING FEES   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
CHILDREN'S HOSPITAL COLORADO
FKA THE CHILDREN'S HOSPITAL ASSOCIATION
Employer identification number

84-0166760
Identifier Return Reference Explanation
VOLUNTEERS FORM 990, PART I, LINE 6 VOLUNTEERS CHAPTERS AT CHILDREN'S HOSPITAL COLORADO THE VOLUNTEER CHAPTERS WITHIN THE ASSOCIATION OF VOLUNTEERS AT CHILDREN'S HOSPITAL COLORADO ("CHILDREN'S COLORADO") PROVIDE A VARIETY OF SERVICES TO THE HOSPITAL, OUR PATIENTS AND THEIR FAMILIES. THE CHAPTER VOLUNTEERS FUNCTION BOTH AS VOLUNTEERS IN THE HOSPITAL, AS WELL AS COMMUNITY-BASED VOLUNTEERS. BOULDER CHAPTER (1967) THE BOULDER CHAPTER BEGAN AS A CIRCLE OF FRIENDS DEDICATED TO MEETING THE NEED OF FUNDING REQUESTS FOR NON-CAPITAL IMPROVEMENTS AT CHILDREN'S COLORADO. THEIR INITIAL PROJECTS WERE GOLF TOURNAMENTS, AUCTIONS AND MORE. CURRENTLY, THE CHAPTER HOSTS THE FOLLOWING EVENTS. " A DAY AT HIGHLAND HILLS MINIATURE GOLF AND RACEWAY IN JUNE " A COOPERATIVE EFFORT WITH GIAMBRACCO AND SONS GARDEN CENTER DURING THE SPRING AND SUMMER; PROCEEDS OF FLOWER SALES BENEFIT THE CHAPTER " TEDDY BEAR TEA AT THE BOULDERADO HOTEL THE SATURDAY AFTER THANKSGIVING " GIFT WRAPPING THE FIRST WEEKEND OF DECEMBER AT THE BOULDER BARNES & NOBLE BOOKSTORE THIS GROUP MEETS THE FIRST TUESDAY OF EVERY MONTH AT 7:00 P.M. AT A MEMBER'S HOME, WITH THE EXCEPTION OF JULY AND AUGUST. CANCER CENTER CHAPTER (1993) THE CANCER CENTER CHAPTER BEGAN AS AN EFFORT TO CELEBRATE THE ART WORK OF ONCOLOGY AND BLOOD DISORDER PATIENTS. CORPORATE SPONSORS WERE ESTABLISHED TO FUND THE TRANSFORMATION OF THE ARTWORK INTO WINTER HOLIDAY CARDS. PROCEEDS OF THE CARDS ARE USED TO IMPROVE THE QUALITY AND SATISFACTION OF PATIENT CARE BY PROVIDING WIGS, MEDICAL BRACELETS, EYE EXAM EQUIPMENT AND TEACHING AIDES. FUNDS ARE ALSO DELEGATED TO PURCHASING EQUIPMENT RELATED TO PROCESSING TUMOR SAMPLES, TEACHING MATERIALS FOR ONCOLOGY STUDENTS AND TO THE HOPE CLINIC, WHICH PROVIDES LONG-TERM SERVICES FOR SURVIVORS OF CANCER. CARDIAC KIDS CHAPTER (2001) THE MISSION OF THE CARDIAC KIDS CHAPTER, DEVELOPED BY MOTHERS OF CARDIAC PATIENTS, IS TO PROVIDE EMOTIONAL SUPPORT AND EDUCATION FOR THE FAMILIES OF CHILDREN WITH HEART DISORDERS. THE GROUP ALSO EDUCATES THE PUBLIC REGARDING HEART DISEASE AND HEART TRANSPLANTS AMONG CHILDREN. EACH DAY THE CHAPTER STRIVES TO ENHANCE THE WORK OF CHILDREN'S HOSPITAL COLORADO HEART INSTITUTE AND HELPS TO PROMOTE ORGAN DONATION. ONE OF THE CHAPTER'S PROJECTS HAS BEEN THE CREATION OF A 150-PAGE MANUAL GUIDING PARENTS THROUGH THE PROCESSES OF SURGERIES, CRITICAL CARE ISSUES, FOLLOW UP CARE AND MORE. THIS CHAPTER'S EVENTS INCLUDE THE FOLLOWING: " A LUNCHEON AT THE CARDIAC PHYSICIAN SEMINAR EVERY SEPTEMBER TO PROMOTE EDUCATION OF DOCTORS AND FAMILIES " A REUNION PICNIC IN JULY " PUMPKIN PATCH DAY IN OCTOBER " ALL STAR FOR HEARTS VARIETY AND TALENT SHOW IN THE FALL THIS CHAPTER MEETS MONTHLY ON THE SECOND TUESDAY OF EVERY MONTH. COLORADO YOUTH CHAPTER THIS CHAPTER IS COMPRISED OF BENEFITS FROM ANNUAL THIRD-PARTY EVENTS SUCH AS THE HEARTS FOR HEARTS SAKE DANCE RECITAL, SPONSORED BY THE COLORADO CENTRE OF DANCE. ANOTHER VALUED EVENT IS THE ULTIMATE MARTIAL ARTS KICK-A-THON, SPONSORED BY PATRICK CHANDLER. FRIENDS OF THE HOSPITAL SPORTS PROGRAM (1986) THIS CHAPTER WAS DEVELOPED TO BE A FUNDRAISING ARM OF THE HOSPITAL SPORTS PROGRAM TO PROVIDE FUNDING SO THAT CHILDREN WITH DISABILITIES CAN PARTICIPATE IN THE DISABLED SKI PROGRAM AT WINTER PARK. THIS PROGRAM HELPS CHILDREN AND TEENS TO BUILD A SENSE OF FREEDOM AND SELF ESTEEM THROUGH SKIING. THIS AWARD-WINNING PROGRAM ALLOWS CHILDREN TO EXPAND THEIR HORIZONS, NOT ONLY THROUGH THE SKI PROGRAM, BUT ALSO THROUGH GOLF ACTIVITIES. IN ADDITION, THIS CHAPTER WAS INSTRUMENTAL IN THE CREATION OF THE COURAGE CLASSIC BIKE TOUR AND REMAINS A CRUCIAL COMPONENT FOR THE EVENT'S SUCCESS. THIS CHAPTER ALSO HOSTS THE DRIVE FOR KIDS PORSCHE EVENT IN SNOWMASS, COLORADO. THROUGHOUT THE YEAR, THE CHAPTER SELLS BROOMS THAT ARE HANDMADE BY MEMBERS, BLANKETS WITH KIDS' PICTURES ON THEM AND A JOHN FIELDER CALENDAR. THE CHAPTER MEETS THE SECOND WEDNESDAY OF EVERY MONTH AT CHILDREN'S COLORADO WITH THE EXCEPTION OF FEBRUARY, JULY AND DECEMBER. GIFT OF GRACIE (2009) THE GIFT OF GRACIE CHAPTER WAS FOUNDED BY TIFFANY PETERSON, WHOSE DAUGHTER, GRACIE, WAS A PATIENT AT CHILDREN'S COLORADO. TIFFANY NOTICED A LACK OF BOOKS IN THE HOSPITAL AND AFTER FURTHER RESEARCH SHE DISCOVERED THAT MANY CHILDREN IN COLORADO DO NOT OWN A BOOK. THE MISSION OF THIS CHAPTER IS TO RAISE FUNDS TO SUPPLY THE HOSPITAL WITH BOOKS THAT CHILDREN CAN PICK FROM AND TAKE HOME. SOME CHAPTER MEMBERS ALSO TAKE THE TIME TO READ TO PATIENTS AT CHILDREN'S. THIS GROUP, SUPPORTED BY DONATIONS, RECENTLY HOSTED ITS FIRST GOLF TOURNAMENT AND CONTINUES TO DISCUSS IDEAS FOR FUTURE FUNDRAISING ACTIVITIES. HIGHLANDS RANCH CHAPTER (1990) THE HIGHLANDS RANCH CHAPTER SUPPORTS CHILDREN'S HOSPITAL COLORADO CENTER FOR CANCER AND BLOOD DISORDERS THROUGH DONATIONS AND FUNDRAISING ACTIVITIES. PAST EVENTS HAVE INCLUDED WINE TASTINGS, SILENT AUCTIONS, A CINCO DE MAYO CELEBRATION AND PARTNERING WITH LOCAL COMMUNITY EVENTS, SUCH AS THE TASTE OF HIGHLANDS RANCH. CURRENTLY THE CHAPTER HOSTS THE FOLLOWING EVENTS: " JEANS DAY FOR HOSPITAL EMPLOYEES IN OCTOBER " AN ANNUAL BLOOD DRIVE " ON DECEMBER 12, 2010 THE CHAPTER WILL HOST A BRUNCH WITH SANTA FROM 10 AM - 12 PM FOR KIDS. A CHAMPAGNE LUNCH WILL BE HELD FOR ADULTS FROM 1-3 PM AT THE CHEROKEE CASTLE & RANCH IN CASTLE ROCK. HYDROCEPHALUS INFORMATION NETWORK CHAPTER (1997) THE HYDROCEPHALUS INFORMATION NETWORK WAS DEVELOPED BY MOTHERS OF CHILDREN WHO SUFFER WITH A SYNDROME KNOWN AS "WATER ON THE BRAIN." MANY CHILDREN WITH THIS CONDITION REQUIRE AS MANY AS 20 SURGERIES BEFORE THE AGE OF 15. THIS CHAPTER'S MISSION IS DEDICATED TO RAISING AWARENESS ABOUT THIS NEUROLOGICAL CONDITION. EACH YEAR, THE CHAPTER HOSTS A SUMMER WEEKEND CAMP IN ESTES PARK, WHICH INCLUDES TENTS, A CAMPFIRE, SWIMMING AND A BASEBALL GAME. IN ADDITION, THE CHAPTER HOSTS A "BREAKFAST WITH SANTA" FUNDRAISER FOR THE PUBLIC AND "AN EVENING WITH SANTA" FOR THE CHAPTER AND ITS MEMBERS. MORNING GLORIES CHAPTER THE MORNING GLORIES CHAPTER IS A SUPPORT GROUP THAT CREATES HAND-SEWN GOODS FOR CHILDREN'S COLORADO CHILD LIFE AND THERAPEUTIC RECREATION SPECIALISTS. THEY SEW EYE PATCHES, BLANKETS, HATS FOR ONCOLOGY PATIENTS AND TINY HOSPITAL GOWNS FOR THE DOLLS CHILD LIFE SPECIALISTS USE TO TEACH PATIENTS ABOUT UPCOMING PROCEDURES. THIS GROUP HOLDS "OUTINGS" INSTEAD OF MONTHLY MEETINGS AT PLACES SUCH AS BOOK BINDING COMPANIES AND MUSEUMS, SO THEY CAN STRETCH THEIR LEGS AND BACKS AFTER LONG HOURS AT SEWING MACHINES. OUTINGS TAKE PLACE ON THE THIRD WEDNESDAY MORNING OF EVERY MONTH. PRESCRIPTION PETS CHAPTER (1984) THE AWARD-WINNING PRESCRIPTION PET PROGRAM, ALSO KNOWN AS RXPETS, IS A DOG-ASSISTED THERAPY AND VISITATION PROGRAM THAT BEGAN IN 1984 AS A COOPERATIVE EFFORT BETWEEN CHILDREN'S COLORADO AND THE DENVER AREA VETERINARY MEDICAL SOCIETY (DAVMS). SPECIALLY-TRAINED VOLUNTEER DOG OWNERS TAKE THEIR DOGS ON ROUNDS TO VISIT PATIENTS AT CHILDREN'S COLORADO. IN 1984, A WRITTEN PRESCRIPTION FROM THE CHILD'S PHYSICIAN WAS NECESSARY FOR A DOG VISIT, HENCE THE NAME, "PRESCRIPTION PET PROGRAM." ALL PRESCRIPTION PET DOGS HAVE PASSED A VIGOROUS SCREENING AND HAVE BEEN APPROVED BY VETERINARIANS WHO VOLUNTEER THEIR TIME. THEIR VISITS WITH PATIENTS CAN RANGE FROM A FEW MINUTES TO 15 MINUTES OR LONGER, DEPENDING ON THE CHILD'S RESPONSE AND CONDITION. THE DOGS ALSO ASSIST THE MEDICAL STAFF IN THE PSYCHIATRIC UNITS AND IN THE PHYSICAL REHABILITATION DEPARTMENT. THE PRESCRIPTION PET FUNDRAISERS IN 2010 INCLUDE A 14-MONTH CALENDAR OF THE PRESCRIPTION DOGS WITH PATIENTS AND PLAYING CARDS WITH THE DOGS' IMAGES. THESE ITEMS CAN BE PURCHASED IN CHILDREN'S COLORADO GIFT SHOP. MEETINGS ARE HELD QUARTERLY BEGINNING IN JANUARY ON THE SECOND WEDNESDAY OF THE MONTH. WINDSOR GARDENS CHAPTER (1975) THE WINDSOR GARDENS CHAPTER SUPPORTS THE NEONATAL AND CARDIAC INFANT PATIENTS BY KNITTING AND CROCHETING BABY BLANKETS, BOOTIES AND HATS FOR THE TINY PATIENTS. THEY ALSO MAKE HATS FOR THE CANCER AND BLOOD DISORDER PATIENTS. EVERY ITEM THEY PRODUCE IS STITCHED WITH LOVE. SOME OF THE MEMBERS OF THIS CHAPTER HAVE BEEN VOLUNTEERS FOR OVER 50 YEARS. THIS CHAPTER HOLDS MANY FUNDRAISING EVENTS, SUCH AS THEIR SUMMER ICE CREAM AND MUSIC SOCIAL, A FALL CRAFT FAIR, BLOOD DRIVES, DANCES, BAKES SALES AND GOLF TOURNAMENTS. MEETINGS ARE HELD THE THIRD MONDAY OF EVERY MONTH AT 9:30 A.M., WITH THE EXCEPTION OF JULY AND DECEMBER
NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 IN JUNE OF 2010, THE CHILDREN'S HOSPITAL AND THE UNIVERSITY OF COLORADO HOSPITAL (UCH) ESTABLISHED THE COLORADO INSTITUTE FOR MATERNAL FETAL HEALTH, A CENTER FOR ADVANCED MATERNAL FETAL MEDICINE OFFERING STATE-OF-THE-ART CARE FOR HIGH-RISK PREGNANT WOMEN AND THEIR BABIES. THE TWO LEADING ACADEMIC MEDICAL CENTERS HAVE INDIVIDUALLY PROVIDED SUCH SERVICES FOR MORE THAN THREE DECADES, AND BY BUILDING ON ALREADY EXISTING ADULT AND PEDIATRIC EXPERTISE, THEY TOGETHER WILL BE ABLE TO PROVIDE UNPARALLELED CARE AND TREATMENT FOR THE REGION'S MOST AT-RISK MOMS AND BABIES. THE CENTER IS OPERATED IN AN ECONOMIC SHARING MODEL THAT COMBINES FINANCIAL INTERESTS, RISKS AND REWARDS OF TCH AND UCH. THE ALLOCATION OF INCOME AND EXPENSES IS SEVENTY PERCENT (70%) TO TCH AND THIRTY PERCENT (30%) TO UCH.
BUSINESS RELATIONSHIPS FORM 990, PART VI, LINE 2 JENA HAUSMANN AND JEFFREY HARRINGTON HAVE A BUSINESS RELATIONSHIP.
SIGNIFICANT CHANGE SINCE PRIOR FORM 990 WAS FILED FORM 990, PART VI, LINE 4 IN JUNE, 2011, THE CHILDREN'S HOSPITAL ASSOCIATION FILED THE APPROPRIATE DOCUMENTATION WITH THE STATE OF COLORADO TO CHANGE ITS NAME TO CHILDREN'S HOSPITAL COLORADO.
PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11 CHILDREN'S HOSPITAL COLORADO'S FINANCE DEPARTMENT WORKS CLOSELY WITH HUMAN RESOURCES, CORPORATE COMPLIANCE, LEGAL AND PUBLIC RELATIONS TO GATHER ALL OF THE DATA REQUIRED TO COMPLETE THE FORM 990. THE CONTROLLER CONDUCTS A REVIEW WITH THE CFO PRIOR TO THE DRAFT BEING DISTRIBUTED TO THE BOARD OF DIRECTORS. ANY NECESSARY CHANGES ARE MADE, THE FORM IS SIGNED BY THE CFO, AND A FINAL COPY IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS VIA A SECURED WEBSITE.
PROCESS USED TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C ALL EMPLOYEES AND BOARD MEMBERS MUST PROMPTLY PROVIDE A WRITTEN DESCRIPTION OF MATERIAL FACTS OF AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST TO CORPORATE COMPLIANCE AND/OR GENERAL COUNSEL ON THE APPROPRIATE DISCLOSURE FORM. SUCH DISCLOSURE WILL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF THE CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. POLICIES AND PROCEDURES FOR DISCLOSING CONFLICTS OF INTEREST ARE TO BE FOLLOWED ACCORDING TO THE INDIVIDUAL'S FUNCTION, IN COMPLIANCE WITH STATE AND FEDERAL REGULATIONS. COMPLETED DISCLOSURE FORMS ARE SUBJECT TO AUDIT REVIEW BY LEGAL, THE CORPORATE COMPLIANCE PROGRAM, AND THE AUDIT AND BUSINESS ETHICS COMMITTEE OF THE BOARD OF DIRECTORS. FAILURE TO COMPLY WITH CONFLICT OF INTEREST POLICIES MAY LEAD TO DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR WORKING RELATIONSHIP WITH THE CHILDREN'S COLORADO. ONCE THE CONFLICT OF INTEREST COMMITTEE HAS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS WITH RESPECT TO A PARTICULAR AGREEMENT/CONTRACT THEN: 1. THE COI COMMITTEE WILL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER CHILDREN'S HOSPITAL COULD OBTAIN A MORE ADVANTAGEOUS AGREEMENT/CONTRACT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES AND, IF APPROPRIATE, WILL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT. 2. IN CONSIDERING WHETHER TO ENTER INTO THE PROPOSED AGREEMENT/CONTRACT, THE COI COMMITTEE MAY APPROVE SUCH CONTRACT, TRANSACTION OR ARRANGEMENT ONLY IF THE DISINTERESTED PERSON OR COMMITTEE DETERMINE BY A MAJORITY VOTE THAT: * THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT IN IN CHILDREN'S COLORADO BEST INTERESTS AND FOR COLRADO CHILDREN'S OWN BENEFIT; AND * THE PROPOSED TRANSACTION IS FAIR AND REASONABLE TO CHILDREN'S COLORADO, TAKING INTO ACCOUNT, AMONG OTHER RELEVANT FACTORS, WHETHER TCH COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES.
PROCESS FOR DETERMINING COMPENSATION OF TOP OFFICIAL, OFFICERS, & KEY EMP FORM 990, PART VI, LINES 15A AND 15B CHILDREN'S COLORADO HAS AN EXECUTIVE COMPENSATION COMMITTEE THAT REVIEWS AND APPROVES ANY PROPOSED INCREASES RELATED TO ANY OFFICERS AND KEY EMPLOYEES OF THE COMPANY. THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE ALONG WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS EACH YEAR. ONCE A CHANGE IN COMPENSATION IS APPROVED FORMAL DOCUMENTS ARE COMPLETED, SIGNED AND FORWARDED TO THE HUMAN RESOURCE DEPARTMENT FOR IMPLEMENTATION. HUMAN RESOURCES RETAIN ALL DOCUMENTATION AS TO HOW THE COMPENSATION WAS DETERMINED AND APPROVED IN THE INDIVIDUAL'S PERSONNEL FILE. EXECUTIVE COMPENSATION IS FOCUSED ON TOTAL REMUNERATION: -- TOTAL CASH COMPENSATION IS TARGETED AROUND THE 50TH PERCENTILE OF THE MARKET o REVIEW MARKET RATIO - SHOULD FALL BETWEEN 80% TO 120% OF MARKET o REVIEW 25TH, 50TH, AND 75TH PERCENTILE -- BASE SALARY - INDIVIDUAL QUALIFICATIONS AND PERFORMANCE DETERMINES MARKET POSITION -- VARIABLE PAY -LEADERSHIP INCENTIVE IS IN PLACE WHICH REWARDS FOR ORGANIZATIONAL PERFORMANCE WITH A SMALL COMPONENT ALSO BASED ON DIVISION PERFORMANCE o AWARDS ARE BASED ON ACHIEVEMENT OF PRE-ESTABLISHED COLORADO CHILDREN'S GOALS WHICH SUPPORT THE STRATEGIC PLAN -- BENEFITS - TARGETED AT THE "MIDDLE OF MARKET" DECISION FACTORS IN EXECUTIVE COMPENSATION DECISIONS: -- MARKET DATA FROM INDEPENDENT COMPENSATION SURVEYS THAT REFLECT FUNCTIONALLY COMPARABLE POSITIONS IN ORGANIZATIONS OF SIMILAR SIZE AND SCOPE -- DIFFICULTIES IN RECRUITING AND RETAINING EXECUTIVES -- SKILLS, EXPERIENCE AND PERFORMANCE HISTORY OF INDIVIDUAL EXECUTIVES -- CRITICAL BUSINESS OR STRATEGIC ISSUES THAT THE ORGANIZATION MAY FACE o WHEN ASSESSING EXECUTIVE COMPENSATION, TCH CONSIDERS BOTH MARKET RATIO AND THE POSITION OF AN EXECUTIVE'S PAY RELATIVE TO COMPETITIVE MARKET PERCENTILES. TCH WILL RARELY PAY ABOVE THE 75TH PERCENTILE OF THE MARKET REGARDLESS OF MARKET RATIO. 2010 MARKET ANALYSIS o CONDUCTED BY SULLIVAN COTTER o UTILIZED APPROVED PEER GROUP FROM JUNE 2009 MEETING o ON POSITIONS WITH INSUFFICIENT DATA (LESS THAN 6 MATCHES) -- USED EXPANDED PEER GROUP OF 22 PEDIATRIC HOSPITALS IF PEER GROUP DATA WAS INSUFFICIENT o BENCHMARKED BASE PAY, TOTAL CASH COMPENSATION, AND BENEFITS 2010 CUSTOM PEER GROUP o ATLANTA o BOSTON o CHICAGO o CINCINNATI o COLUMBUS o DALLAS o HOUSTON o LOS ANGELES o MIAMI o MILWAUKEE o MINNEAPOLIS o PALO ALTO o PHILADELPHIA o SEATTLE o WASHINGTON D.C.
AVAILABILITY OF CERTAIN DOCUMENTS FORM 990, PART VI, LINE 19 THESE DOCUMENTS ARE MADE AVAILABLE UPON REASONABLE REQUEST.
OFFICER HOURS WITH RELATED ORGANIZATIONS FORM 990, PART VII JAMES E. SHMERLING IS EMPLOYED AND COMPENSATED BY CHILDREN'S COLORADO HE WORKS 39 HOURS PER WEEK FOR CHILDREN'S COLORADO AND 1 HOUR PER WEEK FOR CHILDREN'S HEALTH CORPORATION, A RELATED TAX-EXEMPT ORGANIZATION. JENNA HAUSMANN IS EMPLOYED AND COMPENSATED BY CHILDREN'S COLORADO. SHE WORKS 39 HOURS PER WEEK FOR CHILDREN'S COLORADO AND 1 HOUR PER WEEK FOR CHILDREN'S HEALTH CORPORATION, A RELATED TAX-EXEMPT ORGANIZATION. LEONARD J. DRYER, JR. IS EMPLOYED AND COMPENSATED BY CHILDREN'S COLORADO HE WORKS 39 HOURS PER WEEK FOR CHILDREN'S COLORADO AND 1 HOUR PER WEEK FOR CHILDREN'S HEALTH CORPORATION, A RELATED TAX-EXEMPT ORGANIZATION.
RECONCILIATION OF NET ASSETS FORM 990, PART XI UNREALIZED GAIN ON INVESTMENTS $25,422,117 REVENUE REPORTED ON OTHER TAX-RETURN 8,180,695 CHANGE IN VALUE OF INTEREST RATE SWAP (13,801,338) EXPENSES REPORTED ON SEPARATE COMPANY TAX RETURN (10,530,617) OTHER CHANGE IN UNRESTRICTED NET ASSETS 3,840,090 CHANGE IN RESTRICTED NET ASSETS 22,598,000 CHANGE IN PERMANENTLY RESTRICTED NET ASSETS 9,141,000 TOTAL $44,849,947
SCHEDULE K, PART I, COLUMN F DESCRIPTION OF PURPOSES OF BONDS HOSPITAL REVENUE REFUNDING BONDS SERIES 2008 - THE PURPOSE OF THIS BOND ISSUE IS TO REFUND BONDS THAT WERE PREVIOUSLY ISSUED ON 1/22/04 AND 4/7/08. THE REMAINING WEIGHTED AVERAGE MATURITY OF THE BONDS CURRENTLY REFUNDED WAS 11.8929 YEARS. HOSPITAL REVENUE REFUNDING BONDS SERIES 2008C - THE PURPOSE OF THIS BOND ISSUE IS TO REFUND BONDS THAT WERE PREVIOUSLY ISSUED ON 1/22/04. THE REMAINING WEIGHTED AVERAGE MATURITY OF THE BONDS CURRENTLY REFUNDED WAS 14.5966 YEARS. HOSPITAL REVENUE BONDS SERIES 2010A - THE PURPOSE OF THIS BOND ISSUE IS TO PAY FOR THE CONSTRUCTION OF A NEW TEN-STORY ADDITION TO THE EXISTING FACILITY, EQUIPMENT FOR THAT ADDITION, AND EXPANSION OF AN EXISTING PARKING GARAGE. THE WEIGHTED AVERAGE MATURITY OF THE BONDS IS 29.1602 YEARS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CHILDREN'S HOSPITAL COLORADO
FKA THE CHILDREN'S HOSPITAL ASSOCIATION
Employer identification number

84-0166760
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) CHILDREN'S HEALTH CORPORATION

13123 EAST 16TH AVENUE

AURORA,CO80045
74-2235572 		SUPPORTING CO 501(C)(3) 11, TYPE I NA
 
 
 
(2) CHILD HEALTH MANAGEMENT SERVICES INC

13123 EAST 16TH AVENUE

AURORA,CO80045
74-2266667 		IT SERVICE CO 501(C)(3) 3 NA
 
 
 
(3) THE CHILDREN'S HOSPITAL FOUNDATION

13123 EAST 16TH AVENUE

AURORA,CO80045
84-0813462 		FOUNDATION CO 501(C)(3) 7 NA
 
 
 








For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) CHILDREN'S NORTH SURGERY CENTER LLC

13123 E 16TH AVE
AURORA,CO80045
26-2394578 		OUTPATIENT SURG CO NA
  		RELATED -1,362,284 -480,361   No 0   No 73.000 %












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) RMCHS MANAGEMENT SERVICES
13123 E 16TH AVE
AURORA,CO80045
84-0957415 		BILLING CO NA
  		C CORP 8,180,630 115,488 100.000 %












Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) CHILDRENS NORTH SURGERY CENTER LLC

 B 730,000  
(2) CHILDRENS NORTH SURGERY CENTER LLC

 D 5,250,000  
(3) CHILDRENS NORTH SURGERY CENTER LLC

 A, I 460,000  
(4) THE CHILDRENS HOSPITAL FOUNDATION

 C 12,122,429  
(5) RMCHS MANAGEMENT SERVICES

 L 8,180,630  
(6) RMCHS MANAGEMENT SERVICES

 M 2,968,201  
(7) RMCHS MANAGEMENT SERVICES

 N 7,562,416  
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
METHOD USED TO DETERMINE AMOUNTS OF TRANSACTIONS WITH CONTROLLED ENTITIES SCHEDULE R, PART V, LINE 2 THE AMOUNTS REPORTED ON LINES 2(1), 2(3), 2(4), 2(5), 2(6) AND 2(7) OF SCHEDULE R, PART V ARE THE ACTUAL AMOUNTS REPORTED ON COLORADO CHILDREN'S FINANCIAL STATEMENTS. THE AMOUNT REPORTED ON LINE 2(2) IS THE MAXIMUM AMOUNT OF THE LOAN GUARANTEED BY COLORADO CHILDREN'S.
Additional Data


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